Baseline demographic characteristics (prior systemic therapy pooled efficacy and prior systemic therapy pooled safety populations)
. | Prior systemic therapy pooled efficacy population (n = 31) . | Prior systemic therapy pooled safety population (n = 53) . |
---|---|---|
Age, median years (range) | 68 (37-82) | 69 (31-86) |
Male | 21 (68) | 35 (66) |
Female, n (%) | 10 (32) | 18 (34) |
Race, white n (%) | 31 (100) | 47 (89) |
ECOG performance status, n (%) | ||
0-1 | 20 (65) | 36 (68) |
2-3 | 11 (35) | 17 (32) |
AdvSM subtype (central assessment), n (%) | ||
ASM | 1 (3) | 6 (11) |
SM-AHN∗ | 22 (71) | 34 (64) |
MCL | 8 (26) | 13 (25) |
KIT D816V mutation by central assay, n (%) | 28 (90) | 49 (92) |
≥1 S/A/R mutation per central assay, n (%) | 13 (42) | 20 (38) |
BM MC burden, median % (range) | 60.0 (10.0-95.0) | 50.0 (1.0-95.0) |
Serum tryptase level, median ng/mL (range) | 334.0 (23.8-1600.0) | 312.0 (19.9-1600.0) |
Spleen volume, median mL (range) | 781.6 (298.5-2270.0) | 781.6 (44.2-2600.8) |
KIT D816V VAF in peripheral blood, median % (range) | 13.4 (0-45.3) | 18.9 (0-47.5) |
Number of prior systemic therapies, n (%) | ||
1 | 18 (58) | 29 (55) |
≥2 | 13 (42) | 24 (45) |
Prior systemic therapy, n (%)† | ||
Azacitidine | 2 (6) | 3 (6) |
Cladribine | 4 (13) | 10 (19) |
Hydroxyurea | 3 (10) | 4 (8) |
Interferon‡ | 4 (13) | 8 (15) |
Midostaurin | 23 (74) | 43 (81) |
Other | 10 (32) | 16 (30) |
Brentuximab vedotin | 0 | 0 |
Dasatinib | 1 (3) | 5 (9) |
Decitabine | 1 (3) | 1 (2) |
Imatinib | 5 (16) | 7 (13) |
Investigational antineoplastic drugs | 2 (6) | 3 (6) |
Nilotinib | 0 | 2 (4) |
Protein kinase inhibitors (unspecified) | 0 | 1 (2) |
Purine analogs | 0 | 1 (2) |
Radiotherapy | 0 | 0 |
alloHSCT | 1 (3) | 1 (2) |
Thalidomide | 1 (3) | 1 (2) |
Reason for discontinuation of prior therapy, n (%) | ||
Completed scheduled cycles of treatment | 0 | 2 (4) |
Disease progression§ | 18 (58) | 23 (43) |
Toxicity | 7 (23) | 14 (26) |
Otherǁ | 6 (19) | 14 (26) |
Best response to most recent prior therapy, n (%) | ||
CR | 0 | 0 |
PR | 6 (19) | 11 (21) |
CI | 3 (10) | 6 (11) |
SD | 8 (26) | 13 (25) |
PD | 5 (16) | 6 (11) |
Otherǁ | 9 (29) | 17 (32) |
Median duration on most recent prior therapy, months (range) | 7.9 (0-121.8) | 8.0 (0-121.8) |
. | Prior systemic therapy pooled efficacy population (n = 31) . | Prior systemic therapy pooled safety population (n = 53) . |
---|---|---|
Age, median years (range) | 68 (37-82) | 69 (31-86) |
Male | 21 (68) | 35 (66) |
Female, n (%) | 10 (32) | 18 (34) |
Race, white n (%) | 31 (100) | 47 (89) |
ECOG performance status, n (%) | ||
0-1 | 20 (65) | 36 (68) |
2-3 | 11 (35) | 17 (32) |
AdvSM subtype (central assessment), n (%) | ||
ASM | 1 (3) | 6 (11) |
SM-AHN∗ | 22 (71) | 34 (64) |
MCL | 8 (26) | 13 (25) |
KIT D816V mutation by central assay, n (%) | 28 (90) | 49 (92) |
≥1 S/A/R mutation per central assay, n (%) | 13 (42) | 20 (38) |
BM MC burden, median % (range) | 60.0 (10.0-95.0) | 50.0 (1.0-95.0) |
Serum tryptase level, median ng/mL (range) | 334.0 (23.8-1600.0) | 312.0 (19.9-1600.0) |
Spleen volume, median mL (range) | 781.6 (298.5-2270.0) | 781.6 (44.2-2600.8) |
KIT D816V VAF in peripheral blood, median % (range) | 13.4 (0-45.3) | 18.9 (0-47.5) |
Number of prior systemic therapies, n (%) | ||
1 | 18 (58) | 29 (55) |
≥2 | 13 (42) | 24 (45) |
Prior systemic therapy, n (%)† | ||
Azacitidine | 2 (6) | 3 (6) |
Cladribine | 4 (13) | 10 (19) |
Hydroxyurea | 3 (10) | 4 (8) |
Interferon‡ | 4 (13) | 8 (15) |
Midostaurin | 23 (74) | 43 (81) |
Other | 10 (32) | 16 (30) |
Brentuximab vedotin | 0 | 0 |
Dasatinib | 1 (3) | 5 (9) |
Decitabine | 1 (3) | 1 (2) |
Imatinib | 5 (16) | 7 (13) |
Investigational antineoplastic drugs | 2 (6) | 3 (6) |
Nilotinib | 0 | 2 (4) |
Protein kinase inhibitors (unspecified) | 0 | 1 (2) |
Purine analogs | 0 | 1 (2) |
Radiotherapy | 0 | 0 |
alloHSCT | 1 (3) | 1 (2) |
Thalidomide | 1 (3) | 1 (2) |
Reason for discontinuation of prior therapy, n (%) | ||
Completed scheduled cycles of treatment | 0 | 2 (4) |
Disease progression§ | 18 (58) | 23 (43) |
Toxicity | 7 (23) | 14 (26) |
Otherǁ | 6 (19) | 14 (26) |
Best response to most recent prior therapy, n (%) | ||
CR | 0 | 0 |
PR | 6 (19) | 11 (21) |
CI | 3 (10) | 6 (11) |
SD | 8 (26) | 13 (25) |
PD | 5 (16) | 6 (11) |
Otherǁ | 9 (29) | 17 (32) |
Median duration on most recent prior therapy, months (range) | 7.9 (0-121.8) | 8.0 (0-121.8) |
Percentages referring to patient numbers have been rounded to whole numbers and may not add up to 100%.
BM, bone marrow; ECOG, Eastern Oncology Cooperative Group; MC, mast cell; MPN-U, myeloproliferative neoplasm - unclassified; SD, stable disease; VAF, variant allele fraction.
Subtypes of AHN were: Prior systemic therapy pooled efficacy population: CEL, n = 3; CMML, n = 9; MDS, n = 3; MDS/MPN-U, n = 4; MPN, n = 1; and other, n = 2. Prior systemic therapy pooled safety population: CEL, n = 3; CMML, n = 15; MDS, n = 3; MDS/MPN-U, n = 7; MPN, n = 2; and other, n = 4.
Patients may have received >1 prior systemic therapy.
Includes pegylated interferons.
Includes patients who discontinued due to PD/relapse/refractory disease.
“Other” includes combined data for “other response,” unknown, and missing data.